Associations between antibiotic exposure and psychiatric disorders:
Evidence from human epidemiological studies
Abstract
Psychiatric disorders especially depression and anxiety are
exponentially increasing in post-industrial society. Antibiotic exposure
may partly attributable to the development of such psychiatric disorders
reported in some animal studies. However, human epidemiological studies
are rare. This review study aimed to summarize and explore the
associations between antibiotic exposure and psychiatric disorders in
human, scrutinize the research gaps, and draw the contemplate of future
research. PubMed, Scopus, and Embase databases, and Google scholar
search engine were searched for relevant articles using the exposure
keywords “antibiotic exposure” and outcome keywords “psychiatric
disorder” and associated medical subheading terms (MeSH). Human
epidemiological studies were retrieved irrespective of age, race,
country and publications year up to April, 2022. Finally, a total of 15
articles that fulfill our inclusion criteria were selected and
summarized in the present review. This review summarized all types of
associations between antibiotic exposure and psychiatric disorders along
with effects of potent confounders. Most of the study found positive
association between antibiotic exposure and psychiatric disorder
especially with depression and anxiety even after adjustment with major
lifestyle and demographic factors. The associations might be depended on
gender, age, antibiotic types and type of bacterial infections. The
magnitude of these associations was higher for higher doses, more
frequent uses and recent uses of antibiotics. Our summarized evidences
indicate that antibiotic exposure might be associated with depression
and anxiety in human. However, nation-wide prospective cohort using
human biomonitoring of antibiotics is warranted to explore the overall
scenario in future.